SARAH E DOMINIQUE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

SARAH

Middle

Last Name

DOMINIQUE

Business Name

SARAH E DOMINIQUE

Original Issue Date

04/08/2014

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026